Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristen Shen

Individual provider Periodontics · NPI 1316737927

Kristen Shen is a Periodontics in Las Vegas, Nevada. Practices as a sole proprietor and works from 2 locations. Licensed in Iowa.

Licensed in
IA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1001 Shadow Ln
Las Vegas, NV 89106-4124
Phone: (702) 774-5134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 Newton Rd, Iowa City, IA 52242-8004 — (319) 335-7499

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Periodontics Taxonomy 1223P0300X · Licence RES-30747 (IA)

Record details

NPI number1316737927
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMay 7, 2025
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address801 Newton Rd, Iowa City, IA 52242-8004

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